| 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 |