| NPI | 1437413945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036148655) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2012018189) |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: IL 036148655) | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2021-03-02 |