| NPI | 1346407772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: UT 8884569-1205) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 11014033A) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2021-11-20 |