| NPI | 1689194243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MO 2017018864) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01093874A) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2024-06-06 |