| NPI | 1982929741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 2015-00476) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01088365A) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2023-06-19 |