| NPI | 1669421814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN 30290) |
| Additional Taxonomies | 207YS0012X Otolaryngology, Sleep Medicine (Licence: TN 30290) |
| 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: TN 30290) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2021-10-19 |