| NPI | 1487882353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MO 2015009389) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01073660A) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2015-06-16 |