| NPI | 1851454615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AK 5779) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01051686A) |
| 207Y00000X Otolaryngology (Licence: CA A99387) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2016-04-01 |