| NPI | 1922492164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036156929) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301501772) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2021-10-21 |