| NPI | 1730315425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: HI MD19923) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: CA A129615) |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: TX R0698) | |
| 208D00000X General Practice (Licence: NE 25842) | |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2021-09-23 |