| NPI | 1275067530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036159417) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 79707) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2025-05-21 |