NPI | 1306232624 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036151400) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125.066851) |
Enumeration Date | 2015-04-14 |
Last Update Date | 2021-04-30 |