| NPI | 1588165542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MS 31534) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01083351A) |
| 208D00000X General Practice (Licence: IN 01083351A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2024-02-05 |