| NPI | 1063517746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 3644781) |
| Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: IL 036044781) |
| 207NI0002X Dermatology Clinical & Laboratory Dermatological Immunology (Licence: IL 036044781) | |
| 207NP0225X Dermatology Pediatric Dermatology (Licence: IL 036044781) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2023-01-06 |