| NPI | 1417338229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IA MD-51441) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IL 036.164850) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2024-04-15 |