| NPI | 1295197242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036160130) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 267550) |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: IA R-12193) | |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: IL 036160130) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2022-09-23 |