| NPI | 1578514295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 02003536A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: KS 05-28732) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2025-05-05 |