| NPI | 1447638101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01085682A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35.139529) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2021-08-24 |