| NPI | 1699933903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35095934) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125049506) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2012-05-01 |