| NPI | 1063499754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: IL 036102915) |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: IL 036102915) |
| 207Y00000X Otolaryngology (Licence: IL 036102915) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: IL 036102915) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2023-08-04 |