| NPI | 1447356126 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036.077135) | 
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301097695) | 
| Enumeration Date | 2006-09-16 | 
| Last Update Date | 2025-04-08 |