| NPI | 1518114313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036140724) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL AN5240394 6069) |
| 207Y00000X Otolaryngology (Licence: WI 65606-20) | |
| 207Y00000X Otolaryngology (Licence: IL 036-140724) | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: IL 036140724) | |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2018-08-23 |