| NPI | 1184938284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036140256) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.057829) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2018-01-02 |