| NPI | 1730715046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: IL 036.179890) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036.179890) |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2026-07-24 |