| NPI | 1326233081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: IL 036116362) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: AL 28079) |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: AL 28079) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: IL 036116362) | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2024-08-07 |