NPI | 1053398339 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: HI 02002559A) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN DOSR-54) |
Enumeration Date | 2005-12-28 |
Last Update Date | 2007-07-08 |