| NPI | 1831311984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA C177918) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125-049364) |
| 207Y00000X Otolaryngology (Licence: IL 036126212) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2022-05-27 |