| NPI | 1013209626 |
|---|---|
| Professional Name | MITCHELL JOSEF FAKTOR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: NJ 25mb06119300) |
| Enumeration Date | 2011-05-15 |
| Last Update Date | 2011-05-15 |