NPI | 1477660579 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 336021259) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: MO 35778) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2007-07-08 |