| NPI | 1053804781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036171069) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MT215955) |
| 207Y00000X Otolaryngology (Licence: TN 67790) | |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2024-09-17 |