| NPI | 1174655914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MA 249412) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IL 336078195) |
| 208200000X Plastic Surgery (Licence: MA 249412) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2023-12-04 |