| NPI | 1225263866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036-134245) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI L1560606) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2021-12-28 |