| NPI | 1699942177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036-132906) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301089872) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2013-09-18 |