| NPI | 1366857286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036.146214) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WI 5930-851) |
| 207R00000X Internal Medicine (Licence: IL 125065910) | |
| 207N00000X Dermatology (Licence: IN 01084857A) | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2020-11-06 |