| NPI | 1245201169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301513507) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01057061A) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2025-03-10 |