| NPI | 1649246984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME66400) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036.148214) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2022-11-14 |