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 |