| NPI | 1679996102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A138738) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036.148202) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2022-05-12 |