| NPI | 1861499576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KY 34466) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01049174) |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: KY 34466) | |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: IN 01049174) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2017-01-12 |