| NPI | 1467913707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: AR E-17935) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: AR E17935) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2024-08-01 |