| NPI | 1245290758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036122439) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35.144818) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2024-11-18 |