| NPI | 1639179153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101054182) |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: VA 0101054182) |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2012-10-30 |