| NPI | 1174917371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CO CDR.0001509) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125.067114) |
| 207Y00000X Otolaryngology (Licence: IL 036153049) | |
| 207Y00000X Otolaryngology (Licence: CA 170474) | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2022-05-04 |