| NPI | 1487978235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A119258) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IL 036150589) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2023-03-16 |