| NPI | 1447577044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: GA 060251340) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 060251340) |
| 207Y00000X Otolaryngology (Licence: OR MD170748) | |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2021-09-10 |