| NPI | 1831163377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4301061513) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036.171576) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2024-11-29 |