| NPI | 1275385544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 125.085116) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC RTL24-0686) |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2025-07-01 |