| NPI | 1861503872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01045035A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 36094607) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-03-14 |