| NPI | 1952425118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036-108987) |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: IL 036-108987) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2023-05-15 |