| NPI | 1619080777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01035741A) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01035741A) |
| 207Y00000X Otolaryngology (Licence: KY 46935) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2022-04-07 |