| NPI | 1780767681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036067098) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI HB052140) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2023-12-07 |