| NPI | 1497871966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 49977) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301080386) |
| 207Y00000X Otolaryngology (Licence: TN 41971) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-13 |