| NPI | 1407149404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CT 75333) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125059104) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2023-07-17 |