| NPI | 1851346845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01057349A) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 40379) |
| 207Y00000X Otolaryngology (Licence: KY 40379) | |
| 207YX0602X Otolaryngology Otolaryngic Allergy (Licence: IN 01057349A) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2014-12-11 |