| NPI | 1073724076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01074176A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125.053464) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-19 |