| 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 |