| NPI | 1154632040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036138435) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125.058463) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2015-08-19 |