| NPI | 1497592935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036.169580) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.169580) |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-11 |