| NPI | 1427493485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036161072) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WI 2546) |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MN 65326) | |
| Enumeration Date | 2013-05-05 |
| Last Update Date | 2023-04-25 |