| NPI | 1093254468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: IL 036173330) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 036173330) |
| Enumeration Date | 2017-02-18 |
| Last Update Date | 2025-08-05 |