| NPI | 1134184153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 02001212A) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: IN 02001212A) |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: IN 02001212A) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2015-12-08 |