| NPI | 1487765319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: AZ 58195) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036100171) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-08-23 |