| NPI | 1801907431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036129123) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WI 37821) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IN 01065914A) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-04-23 |