| NPI | 1427015833 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: IN 01063744A)  | 
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036106279)  | 
| Enumeration Date | 2006-04-28 | 
| Last Update Date | 2016-03-22 |