| NPI | 1922090646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: IL 036170362) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME62757) |
| 207Y00000X Otolaryngology (Licence: FL ME62757) | |
| 207Y00000X Otolaryngology (Licence: MO 2024013411) | |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2024-12-10 |