| NPI | 1417145152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: IL 036.119026) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IL 036.119026) |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: IL 036.119026) | |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2023-06-27 |