| NPI | 1114216363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036148384) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IN 01084266A) |
| 208600000X Surgery (Licence: IL 1114216363) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL M53207384272) | |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2023-04-06 |