| NPI | 1801917216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NH 14868) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NH 14868) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2014-08-19 |