| NPI | 1487093399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01092672A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 64776) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2024-03-07 |