| NPI | 1144274523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036.146036) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: AL 10225) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2018-06-22 |