NPI | 1174006571 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 125.079505) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.079505) |
Enumeration Date | 2018-09-11 |
Last Update Date | 2023-07-24 |