| NPI | 1043660210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IL 036.156439) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A195649) |
| 208200000X Plastic Surgery (Licence: IL 036.156439) | |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: IN 01097169A) | |
| 208600000X Surgery (Licence: CA A195649) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2025-09-16 |