| NPI | 1467773960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036.136046) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA R-8953) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2020-01-28 |