| NPI | 1538150701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA 205859) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: GA 050863) |
| 207Y00000X Otolaryngology (Licence: GA 050863) | |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2020-12-30 |