| NPI | 1407976673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 001282) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01085611A) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2021-05-13 |