NPI | 1144882960 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036151327) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA 0000000) |
Enumeration Date | 2019-07-02 |
Last Update Date | 2020-02-11 |