| NPI | 1649299264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 3589114) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036107035) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2026-04-06 |