| NPI | 1427303635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036147148) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IN 01090048A) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2023-10-05 |