| NPI | 1699937045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IA 04972) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 02004205A) |
| 207Y00000X Otolaryngology (Licence: MI 5101017595) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2020-12-11 |