| NPI | 1942385174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01060186A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301510868) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2024-03-11 |