| NPI | 1710391271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: ME MD27304) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125-064580) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2024-02-28 |