| NPI | 1588034144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 2007-01377) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NC 2007-01377) |
| 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: NC 2007-01377) | |
| 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: NC 2007-01377) | |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2020-03-19 |