| NPI | 1649582883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A138268) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125058720) |
| Enumeration Date | 2010-07-03 |
| Last Update Date | 2019-01-18 |