| NPI | 1821451345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: GA 91581) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 91581) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2022-07-06 |