| NPI | 1962473785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207YX0602X Otolaryngology Otolaryngic Allergy (Licence: IN 01026266A) |
| Additional Taxonomies | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: IN 01026266A) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2007-07-08 |