| NPI | 1790199933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036153348) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-065169) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2025-03-13 |