| NPI | 1699034181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01078149A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301100826) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2022-06-24 |