| NPI | 1902398357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 431510730) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IL 036167697) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: IL 036167697) | |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MI 431510730) | |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2024-04-10 |