| NPI | 1255446852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036094089) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 36094089) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2021-09-15 |