| NPI | 1023288230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01068324A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D68443) |
| 207Y00000X Otolaryngology (Licence: OH 57.007689) | |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2020-11-16 |