| NPI | 1497214290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 328916-01) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01097695A) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2025-10-24 |