| NPI | 1053391334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: IL 036045616) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WI 55177) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2015-01-19 |