| NPI | 1699933648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01065502A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WA MD60275074) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2021-12-30 |