| NPI | 1184885980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036-120481) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MN 62964) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2021-09-14 |