| NPI | 1902603731 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IL 125088008) |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2026-06-10 |