| 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 |