| NPI | 1396364295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01100526A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35.153245) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2026-09-28 |