| NPI | 1710241054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: FL OS17209) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: FL OS17209) |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: AL DO.1715) | |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2022-05-12 |