NPI | 1003347519 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0095080) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125071373) |
207R00000X Internal Medicine (Licence: IL 125.071373) | |
Enumeration Date | 2017-03-26 |
Last Update Date | 2023-02-01 |