| NPI | 1457352031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01074772A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 31230) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2023-04-12 |