| NPI | 1033377064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01058253A) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: WA MD60143669) |
| 207Y00000X Otolaryngology (Licence: WA MD60143669) | |
| 207Y00000X Otolaryngology (Licence: PA MD436779) | |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: PA MD436779) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2010-06-07 |