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 |