NPI | 1174663413 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: IL 036108676) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: IL 036108676) |
208600000X Surgery (Licence: IL 036108676) | |
Enumeration Date | 2007-02-07 |
Last Update Date | 2016-05-17 |