| NPI | 1841236049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 107241) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: WV 24445) |
| 207Y00000X Otolaryngology (Licence: WV 24445) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-07-08 |