| NPI | 1295227783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MO 2023047886) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036.164552) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2024-05-17 |