| NPI | 1578805651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NV 23141) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036161098) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2023-08-04 |