| NPI | 1669817128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: IL 036.149610) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036.149610) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2019-08-20 |