| NPI | 1710986765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01060618A) |
| Additional Taxonomies | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: IN 01060618A) |
| 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: IN 01060618A) | |
| 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck (Licence: IN 01060618A) | |
| 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: IN 01060618A) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2009-12-22 |