| NPI | 1821478108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: AZ 66268) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IL 125066805) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2023-08-28 |