| NPI | 1972828283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036-140624) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IL 036-140624) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: IL 036-140624) | |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2021-04-22 |