NPI | 1346306776 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036082318) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MI 5101009559) |
Enumeration Date | 2006-12-29 |
Last Update Date | 2007-07-08 |