| NPI | 1245260207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: MA 1013164) |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: PA MD053741L) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2023-07-24 |