| NPI | 1174789564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01072985A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME112145) |
| 207Y00000X Otolaryngology (Licence: IL 125053425) | |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2020-12-17 |