| NPI | 1013995679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX F1094) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036052394) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2016-07-14 |