| NPI | 1437165164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: IL 036-151806) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: AR E4564) |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: AR E4564) | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: AR E-4564) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-02-19 |