| NPI | 1942302864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036-116375) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL OS9518) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2015-05-18 |