| NPI | 1437167814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: OH 35023595) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35023595) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2018-10-31 |