| NPI | 1326042110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: SC 14176) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: SC 14176) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2021-04-01 |