| NPI | 1386804649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 73759) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CO DR.0062861) |
| 207Y00000X Otolaryngology (Licence: NE 25415) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2023-12-22 |