| NPI | 1871152397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: ND 21128) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125074211) |
| Enumeration Date | 2019-06-08 |
| Last Update Date | 2024-08-09 |