| NPI | 1538401146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NE 28023) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036164948) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2023-12-06 |