NPI | 1770618548 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A92453) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: IL 036108794) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2022-08-01 |