| NPI | 1427073543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036-043966) |
| Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: IL 036-043966) |
| 207NS0135X Dermatology Procedural Dermatology (Licence: IL 036-043966) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-08-09 |