| NPI | 1275709958 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: IN 01067786A) | 
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: OH 35.092162) | 
| Enumeration Date | 2008-05-02 | 
| Last Update Date | 2021-01-13 |