| NPI | 1316971807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036103419) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: IL 036103419) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: AZ 71511) | |
| 207P00000X Emergency Medicine (Licence: WI 53459-20) | |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: IL 036103419) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-10-20 |