| NPI | 1568585776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 062714) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01061318A) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2009-07-29 |