| NPI | 1033539721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD60934292) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125065677) |
| 207YX0901X Otolaryngology Otology & Neurotology (Licence: WA MD60934292) | |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2019-07-12 |