| NPI | 1003094293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AL MD.34402) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01059939A) |
| Enumeration Date | 2008-02-10 |
| Last Update Date | 2017-02-09 |