NPI | 1770844888 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036153451) |
Additional Taxonomies | 208600000X Surgery (Licence: MD D84088) |
208600000X Surgery (Licence: PA MT201398) | |
Enumeration Date | 2012-06-05 |
Last Update Date | 2023-10-12 |