| NPI | 1649859109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01099425A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01099425B) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2026-07-21 |