NPI | 1912916263 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA G70528) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036-085852) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2022-10-12 |