| NPI | 1609396464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036164790) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: OK 38335) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2024-08-08 |