| NPI | 1396735320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036164845) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 210899) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2026-04-07 |