| NPI | 1295050060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CO DR.0065156) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01078298A) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2021-03-23 |