| NPI | 1225531007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A176382) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125.073474) |
| Enumeration Date | 2018-03-17 |
| Last Update Date | 2023-12-19 |