| NPI | 1225490840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: IL 036155286) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 57.028395) |
| 207Y00000X Otolaryngology (Licence: IL 036155286) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: IL 036155286) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2025-04-04 |