| NPI | 1366878738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036.142036) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A127240) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2021-12-08 |