NPI | 1104353390 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01087288A) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 57029287) |
Enumeration Date | 2017-05-18 |
Last Update Date | 2023-11-06 |