| NPI | 1538915285 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: AR E-18073)  | 
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: AR E-18073)  | 
| Enumeration Date | 2024-04-24 | 
| Last Update Date | 2024-08-14 |