| NPI | 1528028214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036092494) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: KY 35183) |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2021-07-28 |