| NPI | 1457666943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01076968A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX BP10037187) |
| 207Y00000X Otolaryngology (Licence: GA 73698) | |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2021-01-25 |