| NPI | 1013176684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036132891) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: IL 036132891) |
| Enumeration Date | 2008-06-08 |
| Last Update Date | 2021-04-29 |