| NPI | 1063484798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036-046399) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036046399) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2012-04-17 |