NPI | 1003840679 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA A064464) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A066464) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2007-07-08 |