| NPI | 1497989644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036130949) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WI 82281) |
| Enumeration Date | 2009-05-02 |
| Last Update Date | 2023-07-19 |