| NPI | 1639242944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: IN 01069448A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NE 22561) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2016-07-07 |