| NPI | 1003310855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: AR E-18135) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: AR E-18135) |
| 207Y00000X Otolaryngology (Licence: MO 023022999) | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2024-09-17 |