| NPI | 1932185329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036059407) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO RID29) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2010-02-08 |