| NPI | 1639388911 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: IN 01072216A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01072216A) |
| 207Y00000X Otolaryngology (Licence: IA 36490) | |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: OH 57.019215) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-08-24 |