| NPI | 1982018271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036149599) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NE 7189) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2026-04-29 |