| NPI | 1912026238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: IL 036.122339) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA a86034) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2016-04-18 |