| 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 |