| NPI | 1316113780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX Q8474) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: KY 46451) |
| 207Y00000X Otolaryngology (Licence: IN 01072909A) | |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2020-05-06 |