| NPI | 1972708105 |
|---|---|
| Former Name | ABDEL KADER EL TAL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OH 35124449) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 4301089516) |
| 207ND0900X Dermatology, Dermatopathology (Licence: MI 4301089516) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: MI 4301089516) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2022-05-24 |