| NPI | 1639223928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036-105323) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WI 48503020) |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: WI 48503) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2024-03-18 |