NPI | 1831131697 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: IL 036115705) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036115705) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2024-10-07 |