| NPI | 1124093943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036068434) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO R7A18) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2010-02-08 |