| NPI | 1396749883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX K8572) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX K8572) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2023-08-15 |