| NPI | 1689878480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IL 036117307) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: IL 036117307) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2022-05-04 |