NPI | 1215324447 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036.150795) |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: IL 036.150795) |
207NP0225X Dermatology, Pediatric Dermatology (Licence: IL 036.150795) | |
207NS0135X Dermatology, Procedural Dermatology (Licence: IL 036.150795) | |
Enumeration Date | 2015-04-27 |
Last Update Date | 2020-05-20 |