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 |