| NPI | 1164458105 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036141011) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MO R6867) |
| 207Y00000X Otolaryngology (Licence: MO R6867) | |
| 208200000X Plastic Surgery (Licence: IL 036141011) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2016-09-07 |