| NPI | 1326113440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 36112416) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-112416) |
| 207RH0000X Internal Medicine, Hematology (Licence: IL 036-112416) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2021-04-28 |