| NPI | 1922000173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01024913A) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01024913A) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2014-04-02 |