| NPI | 1487773669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MO 109503) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036127592) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2019-09-24 |