| NPI | 1467444620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036075600) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036075600) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2025-02-20 |