| NPI | 1740442227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IN 01075689A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01075689A) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2021-12-01 |