| NPI | 1720077407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01046534A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: KY 32870) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2024-04-12 |