| NPI | 1720287139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01074249A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA R8142) |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: IN 01074249A) | |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: IA 40382) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2021-01-21 |