| NPI | 1245673557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: KY 52356) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TN 57251) |
| 207Y00000X Otolaryngology (Licence: KY 52356) | |
| 207Y00000X Otolaryngology (Licence: IN 01081799A) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: IN 01081799A) | |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2022-11-15 |