| 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 |