| NPI | 1043222714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL OS15286) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: FL OS15286) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2023-03-06 |