NPI | 1972959336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036.161149) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 57.027520) |
Enumeration Date | 2016-05-04 |
Last Update Date | 2022-09-16 |