| NPI | 1831306968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036124349) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A99159) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2019-06-26 |