| NPI | 1912944778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VT vt5482) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: VT vt5482) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-10-26 |