| NPI | 1710372941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036.151493) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125066983) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2026-09-21 |