| NPI | 1124448881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101259065) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: IN 01092641A) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2024-02-21 |