| NPI | 1952740318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036145758) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN TRN19036) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2020-02-26 |