| NPI | 1205828985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YX0901X Otolaryngology Otology & Neurotology (Licence: IN 01044624A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35 078705) |
| 207Y00000X Otolaryngology (Licence: IN 01044624A) | |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2023-11-03 |