| NPI | 1619181062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101253017) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01052836A) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2013-01-02 |