| NPI | 1104366574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OK 7558) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036160720) |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2022-08-24 |