| NPI | 1013004860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AL DO.3331) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA 45315) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: AL DO.3331) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: GA 45315) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2024-10-08 |