| NPI | 1366422453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA OP00002250) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: TX E2383) |
| 207Y00000X Otolaryngology (Licence: TX E2383) | |
| 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: WA OP00002250) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2010-02-04 |