| NPI | 1205810140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: SC 94741) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01059866A) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2025-08-05 |