NPI | 1023174414 |
---|---|
Former Name | DIEGO ESTEBAN GARCIA-MARRA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: TX M5353) |
Additional Taxonomies | 207N00000X Dermatology (Licence: TX M5353) |
207NS0135X Dermatology Procedural Dermatology (Licence: TX M5353) | |
Enumeration Date | 2006-12-29 |
Last Update Date | 2017-10-13 |