| NPI | 1780673178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01090841A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: VT 0420010194) |
| 207Y00000X Otolaryngology (Licence: NH 19647) | |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2023-07-28 |