| NPI | 1497877492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: HI MD-12832) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: UT 8705348-1205) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2021-05-10 |