| NPI | 1144518473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: TX S7014) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX 57014) |
| 207Y00000X Otolaryngology (Licence: IL 036146113) | |
| 207Y00000X Otolaryngology (Licence: TX S7014) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: TX 57014) | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2023-11-29 |