NPI | 1063071199 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2023028374) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10068810) |
Enumeration Date | 2019-06-12 |
Last Update Date | 2024-05-07 |