| NPI | 1386709723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WI 41072) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036-095557) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-08 |