| NPI | 1962768267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WI 71110-20) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036144329) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2025-11-04 |