| NPI | 1730185513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MA 288547) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036-082725) |
| Enumeration Date | 2005-06-25 |
| Last Update Date | 2024-08-28 |