| NPI | 1720460363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WI 1874-320) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125.066880) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2022-08-02 |