| NPI | 1841653581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01085486A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 96157) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2023-08-02 |