NPI | 1265548945 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: IL 036-128815) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036-128815) |
207YS0123X Otolaryngology Facial Plastic Surgery (Licence: IL 036-128815) | |
2082S0105X Plastic Surgery Surgery of the Hand (Licence: IL 036128815) | |
Enumeration Date | 2006-08-22 |
Last Update Date | 2015-01-29 |