| NPI | 1801070370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: IL 1801070370) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: LA MD.200263) |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: OH 35.094270) | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2018-11-06 |