| NPI | 1487055133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036159776) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WI 64697) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2026-05-01 |