| NPI | 1902347255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WI 81935) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125069920) |
| Enumeration Date | 2017-03-19 |
| Last Update Date | 2023-08-17 |