| NPI | 1588082945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036.158067) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 313587-01) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2021-11-10 |