| NPI | 1053539403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036139131) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: PA MD436739) |
| 208200000X Plastic Surgery (Licence: PA MD436739) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2016-01-29 |