| NPI | 1235583691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: IL 036164579) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 57.027508) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2023-10-30 |