| NPI | 1588634414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IA 31549) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IA 31549) |
| 207KA0200X Allergy & Immunology Allergy (Licence: IA 31549) | |
| 207KI0005X Allergy & Immunology Clinical & Laboratory Immunology (Licence: IA 31549) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2015-02-24 |