| NPI | 1336218643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036125895) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2011009453) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2021-02-26 |