| NPI | 1255380903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: IN 01061815A) |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CO 43615) |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: OH 35 085143) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: KY 39547) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2023-03-07 |