| NPI | 1679731665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01064628-A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 11012804A) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2015-01-06 |