| NPI | 1407172174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: NY 281811) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 281811) |
| 2080P0214X Pediatrics Pediatric Pulmonology (Licence: NY 281811) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2023-06-29 |