| NPI | 1932326451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: IL 036118993) |
| Additional Taxonomies | 207YS0012X (Licence: OH 35.088062) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2013-04-17 |