| NPI | 1184850489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 254050) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036-132054) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2014-07-08 |