| NPI | 1881889194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: IL 036110684) |
| Additional Taxonomies | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: PR 16856) |
| 208600000X Surgery (Licence: PR 16856) | |
| 208600000X Surgery (Licence: IL 036110684) | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2012-07-18 |