| NPI | 1386600203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036-108014) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IL 036108014) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2020-06-17 |