| NPI | 1508840299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D70154) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 224238) |
| 207Y00000X Otolaryngology (Licence: IL 036-116204) | |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2013-01-31 |