| NPI | 1396742193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KY 17604) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01023705A) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2014-02-18 |