| NPI | 1255781365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036-153277) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2016017335) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2023-08-03 |