| NPI | 1831535285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NE 28160) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01082456A) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2022-06-02 |