| NPI | 1942415823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IL 036.114329) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MD D36424) |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2024-01-23 |