| NPI | 1972952703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A180526) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125.069190) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2022-09-14 |