| NPI | 1457806648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301516945) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125.076046) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2026-06-22 |