| NPI | 1255581518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX N3062) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: TX 42262) |
| 207Y00000X Otolaryngology (Licence: LA 204879) | |
| 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: TX 42262) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2023-03-07 |