| NPI | 1437687126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KY 57893) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 11019280A) |
| 207Y00000X Otolaryngology (Licence: WA MD61268539) | |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2023-08-10 |