| NPI | 1093978355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KY 46261) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01072297A) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2017-11-16 |