| NPI | 1174754139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036149517) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: VA 0101250055) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2019-06-06 |