| NPI | 1881853448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MD D0074282) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125.051249) |
| Enumeration Date | 2008-06-08 |
| Last Update Date | 2018-04-24 |