| NPI | 1194727909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MN 72578) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IN 01060561A) |
| 208200000X Plastic Surgery (Licence: IL 036100551) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IL 036100551) | |
| 208600000X Surgery (Licence: IL 036100551) | |
| 208600000X Surgery (Licence: IN 01060561A) | |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2024-05-13 |