| NPI | 1659696870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036-140872) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD454125) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2018-10-05 |