| NPI | 1043359292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: DE C1-0028187) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 111705) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2025-06-10 |