| NPI | 1376237479 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 34976) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125081354) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2025-02-05 |