| NPI | 1518329697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01088290A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WI 6393-851) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2022-08-09 |