| NPI | 1023013984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OR MD10203) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: OR MD10203) |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: OR MD10203) | |
| 207K00000X Allergy & Immunology (Licence: OR MD10203) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2022-07-19 |