| NPI | 1639531007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01089550A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 5394) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2023-08-01 |