NPI | 1558981274 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 125.075666) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.075666) |
Enumeration Date | 2020-04-22 |
Last Update Date | 2021-06-12 |