| NPI | 1689615924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 213138) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: IL 36.152276) |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: NY 213138) | |
| 207YS0012X Otolaryngology, Sleep Medicine (Licence: OK 37503) | |
| 207YS0012X Otolaryngology, Sleep Medicine (Licence: TX P1854) | |
| 207YS0012X Otolaryngology, Sleep Medicine (Licence: NY 213138) | |
| 207YS0012X Otolaryngology, Sleep Medicine (Licence: IL 36.152276) | |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: IL 36.152276) | |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: NY 213138) | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: NY 213138) | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: IL 36.152276) | |
| 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: NY 213138) | |
| 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: IL 36.152276) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NY 213138) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: IL 36.152276) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2025-05-21 |