| 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 |