NPI | 1245556695 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036138747) |
Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: IL 036138747) |
Enumeration Date | 2010-04-09 |
Last Update Date | 2022-07-21 |