| NPI | 1578768644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MI 5101022863) |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: IN 02004173a) |
| 208200000X Plastic Surgery (Licence: MI 5101022863) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2024-03-07 |