| NPI | 1023501608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 104504) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036.169865) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2025-05-11 |