| NPI | 1992098735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036135853) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME123479) |
| 207R00000X Internal Medicine (Licence: IL 125:059285) | |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2020-07-23 |