| NPI | 1750388286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KY 22157) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: IN 01040152A) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: KY 22157) | |
| 207Y00000X Otolaryngology (Licence: IN 01040152A) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2022-11-15 |