| NPI | 1235585878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01085772A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 11018649A) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2021-12-15 |