| NPI | 1447644570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0012X (Licence: AL MD.42784) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01090539A) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2023-06-09 |