| NPI | 1124554209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036154695) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2018013216) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2021-08-25 |