| NPI | 1609260660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036.164924) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: UT 11725384-1205) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2023-08-29 |