NPI | 1477574887 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: ME 011118) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 10175663A) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2015-09-14 |