NPI | 1144228271 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: SC 39814) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 02001925A) |
207Y00000X Otolaryngology (Licence: OH 34.010285) | |
Enumeration Date | 2005-07-12 |
Last Update Date | 2020-08-03 |