| NPI | 1922668391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 43021514241) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125073930) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2025-06-09 |