| NPI | 1326034448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IL 036-093584) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IL 036093584) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2020-12-10 |