| NPI | 1578724852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX Q1428) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01066931A) |
| 207Y00000X Otolaryngology (Licence: KY 46163) | |
| 174400000X Specialist (Licence: TX Q1428) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2023-03-14 |