| NPI | 1841552411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036145517) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA R-9483) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2018-05-09 |