| NPI | 1477743482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IA DO-04626) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036.129445) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2024-01-11 |