| NPI | 1700856069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AZ 49866) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35.120409) |
| 207Y00000X Otolaryngology (Licence: IN 1057676A) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-03-31 |