NPI | 1649790627 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036.155306) |
Additional Taxonomies | 207N00000X Dermatology (Licence: GA 101902) |
Enumeration Date | 2017-06-21 |
Last Update Date | 2024-09-26 |