| NPI | 1144280785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036.086614) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IN 01039206) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2024-01-23 |