| NPI | 1932146966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: UT 61336691205) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01056472A) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2025-08-15 |