| NPI | 1770614059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A41784) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01082789A) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2025-08-06 |