| NPI | 1144780594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036171478) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: IL 036171478) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2025-01-29 |