| NPI | 1093986804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: AZ 43170) |
| Additional Taxonomies | 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: CA A95064) |
| 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: IN 01065964A) | |
| 207Y00000X Otolaryngology (Licence: AZ 43170) | |
| 207Y00000X Otolaryngology (Licence: CA A95064) | |
| 207Y00000X Otolaryngology (Licence: IN 01065964A) | |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2015-10-05 |