| NPI | 1760618466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036-144775) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: PA MT195863) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2022-12-12 |