| 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 |