| NPI | 1144859372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036.168450) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01092507A) |
| 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: IL 036.168450) | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2025-07-18 |