| NPI | 1144583584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 64538) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: LA 306319) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2024-02-01 |