| NPI | 1366458275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 36112540) |
| Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: IL 36112540) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2024-01-09 |