| NPI | 1902224942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036162746) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01089706A) |
| Enumeration Date | 2014-04-05 |
| Last Update Date | 2023-12-05 |