| NPI | 1194921924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036.131381) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301093292) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2013-01-11 |