| NPI | 1487884854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036129131) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125056324) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2015-08-06 |