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 |