| NPI | 1437599842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036.147526) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MS T-2685) |
| Enumeration Date | 2013-06-29 |
| Last Update Date | 2019-07-09 |