| NPI | 1801982434 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IN 101077178A) | 
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IL 036135111) | 
| 208200000X Plastic Surgery (Licence: MI 4301103500) | |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: IL 036135111) | |
| Enumeration Date | 2006-10-04 | 
| Last Update Date | 2022-03-31 |