| NPI | 1083872022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: TN 66160) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 11013110A) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2022-10-24 |