| NPI | 1689745044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D22385) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: DC MD14490) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2022-06-16 |