NPI | 1205810140 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: SC 94741) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01059866A) |
Enumeration Date | 2005-12-05 |
Last Update Date | 2025-08-05 |