| NPI | 1043216112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IL 036071666) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IL 036071666) |
| 208600000X Surgery (Licence: IL 036071666) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: IL 036071666) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: IL 036071666) | |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2007-12-17 |