| NPI | 1437122744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: MI 5101017139) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: MO 116144) |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: MO 116144) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-10-20 |