| NPI | 1871758870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 036.124023) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036124023) |
| Enumeration Date | 2008-07-20 |
| Last Update Date | 2021-12-20 |