| NPI | 1679004832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036165389) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01088106A) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2024-06-11 |