| NPI | 1790597052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY P133543) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY P133543) |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-01-23 |