| NPI | 1053370759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036-047603) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: IL 036-047603) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2007-07-08 |