| NPI | 1326205212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN 45735) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036122366) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2022-03-25 |