| NPI | 1306232624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036151400) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125.066851) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2021-04-30 |