| NPI | 1134310162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD60331614) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01061764A) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2013-06-18 |