NPI | 1124382023 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: RI MD13680) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036114905) |
Enumeration Date | 2012-06-26 |
Last Update Date | 2017-04-03 |