| NPI | 1144403791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036.123000) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: NY 244059) |
| 208600000X Surgery (Licence: NY 244059) | |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2009-08-02 |