| NPI | 1558527945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036135993) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125055412) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2021-06-24 |