NPI | 1699208181 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036.170918) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036.170918) |
Enumeration Date | 2017-04-11 |
Last Update Date | 2024-09-30 |