| NPI | 1457380602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: MD D0039156) |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: VA 0101236053) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2007-09-11 |