| NPI | 1093763583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KY 35997) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01053627A) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2009-12-08 |