| NPI | 1447607841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NJ 25MA11464200) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125068441) |
| 207Y00000X Otolaryngology (Licence: CA A171225) | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2023-08-22 |