| NPI | 1699938886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN 1699938886) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MS 20080036) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2020-01-28 |