| NPI | 1740259043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036048386) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO R4761) |
| 207Y00000X Otolaryngology (Licence: NY 1226911) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2008-01-23 |