NPI | 1407902190 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036-133545) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A112172) |
208600000X Surgery (Licence: CA A112172) | |
208600000X Surgery (Licence: MD RES-001) | |
Enumeration Date | 2007-01-26 |
Last Update Date | 2021-03-16 |