| NPI | 1770757130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: IL 036134552) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA MA254962) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2019-04-25 |