| NPI | 1477524015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01062088A) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A74427) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2023-02-15 |