| NPI | 1023273810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 02004143A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: KY 03534) |
| 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: PA OT012558) | |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2024-04-12 |