| NPI | 1417944109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01027712A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036-055188) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2017-01-13 |