| NPI | 1740784925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MA 1014070) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: IL 036177468) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2026-04-06 |