| NPI | 1447356126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036.077135) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301097695) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2015-08-14 |