| NPI | 1225659444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: GA 17977) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036171734) |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2025-06-18 |