NPI | 1609989334 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: IL 036115585) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036115585) |
Enumeration Date | 2006-08-16 |
Last Update Date | 2007-07-31 |