| NPI | 1043539687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: TX BPI0037977) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: TX BPI0037977) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX BP1 0037977) | |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2025-01-20 |