| NPI | 1598749905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D24191) |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: MD D24191) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2007-07-08 |