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 |