| NPI | 1811370687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036166042) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.066977) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2024-02-28 |