| NPI | 1497787923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036120840) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 222029) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-12-06 |