| NPI | 1689661183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036073211) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 02004335A) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2017-02-01 |