| NPI | 1215100706 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01073891A)  | 
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01073891A)  | 
| 207X00000X Orthopaedic Surgery (Licence: IN 01082693A)  | |
| 208600000X Surgery (Licence: MA 256391)  | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-04-07 | 
| Last Update Date | 2022-12-13 |