| NPI | 1134319858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MO 2007018713) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: MO 2007018713) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2022-12-15 |