NPI | 1265419188 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IL 036.110065) |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2005-12-30 |
Last Update Date | 2016-07-27 |