| NPI | 1568430973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: PA MD036596L) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: PA MD036596L) |
| 207Y00000X Otolaryngology (Licence: PA MD036596L) | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2018-11-20 |