NPI | 1073968947 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0102204954) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0102204954) |
Enumeration Date | 2016-04-28 |
Last Update Date | 2023-08-24 |