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 |