| NPI | 1518981752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036144255) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35.082713) |
| 207Y00000X Otolaryngology (Licence: WA MD00043576) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2019-12-05 |