| NPI | 1740695980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036157868) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 283385) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2021-10-07 |