NPI | 1689134710 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 68164) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 30256) |
Enumeration Date | 2019-03-24 |
Last Update Date | 2024-07-09 |