| NPI | 1619132420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036.132275) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301091822) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2020-06-02 |