| NPI | 1700823879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: IL 036061657) |
| Additional Taxonomies | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: IL 036061657) |
| 208600000X Surgery (Licence: IL 036061657) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2013-03-21 |