| NPI | 1770575680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01030212A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35-05-1356) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2016-06-20 |