| NPI | 1093229452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 72135) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 31662) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2022-07-22 |