| NPI | 1174529796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KY 31460) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01056919A) |
| 174400000X Specialist (Licence: KY 31460) | |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2022-11-15 |