| NPI | 1760466411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IL 036114322) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036114322) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2024-07-15 |