| NPI | 1225027907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MO 101110) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01048581A) |
| 207Y00000X Otolaryngology (Licence: KY 34110) | |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2011-02-17 |