| NPI | 1154486124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AL 10241) |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: AL 10241) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2023-06-30 |