| NPI | 1639436199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036155527) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036155527) |
| 2082S0105X Plastic Surgery Surgery of the Hand (Licence: IL 036155527) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2021-11-15 |