| NPI | 1063531069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD00044278) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00044278) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2012-06-01 |