NPI | 1346245115 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01031629) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036059363) |
Enumeration Date | 2005-06-16 |
Last Update Date | 2023-05-04 |