| NPI | 1811007321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01063056A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CO 35608) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-03-04 |