| NPI | 1447238951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD.22530) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: AL 22530) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: AL 22530) | |
| 207Y00000X Otolaryngology (Licence: AL 22530) | |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: AL 22530) | |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: AL 22530) | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: AL 22530) | |
| 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: AL 22530) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: AL 22530) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2018-01-10 |