| NPI | 1669933222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: GA 100647) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 100647) |
| 207Y00000X Otolaryngology (Licence: IL 125.075059) | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2024-09-18 |