| NPI | 1629531801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MA 1024032) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 1024032) |
| 207Y00000X Otolaryngology (Licence: IN 01093424A) | |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: IN 01093424A) | |
| Enumeration Date | 2019-04-13 |
| Last Update Date | 2025-08-05 |