| NPI | 1780028332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036146297) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: IL 036146297) |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2023-04-03 |