| NPI | 1336121649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: TN 4298) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TN 4298) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2013-11-25 |