| 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 |