| NPI | 1003005315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: IL 036123693) |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2022-07-21 |