NPI | 1740305473 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 38570) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: ME 014566) |
207Y00000X Otolaryngology (Licence: ND 11025) | |
Enumeration Date | 2007-03-20 |
Last Update Date | 2023-09-05 |