| NPI | 1134242142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MO 2022006412) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01059894A) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2026-08-14 |