NPI | 1225695059 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 67972) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 30049) |
Enumeration Date | 2019-05-28 |
Last Update Date | 2020-08-26 |