NPI | 1962577676 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036-077856) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: ID 036-077856) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2021-04-23 |