| NPI | 1215171590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036.138601) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD450964) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2021-07-07 |