| NPI | 1861499576 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KY 34466)  | 
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01049174)  | 
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: IN 01049174)  | |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: KY 34466)  | |
| Enumeration Date | 2005-07-07 | 
| Last Update Date | 2025-10-10 |