| NPI | 1821298555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 36.129302) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MN 106177) |
| 208600000X Surgery (Licence: IL 125053834) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MN 55759) | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2022-12-20 |