| NPI | 1639279854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01077108A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CT 050986) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2023-07-24 |