| NPI | 1770088031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036.171677) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 78441) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2024-12-13 |