| NPI | 1194220194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 66186) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 29183) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2024-01-02 |