| NPI | 1740441021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WI 67102) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 11014415A) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2022-07-21 |