| NPI | 1679884118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036.140353) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D0079533) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2021-11-22 |