| 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 |