| NPI | 1164491296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036157974) |
| Additional Taxonomies | 174400000X Specialist (Licence: SC 21914) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2021-12-28 |