| NPI | 1447226477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AR C4520) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: AR C4520) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: AR C4520) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2008-08-21 |