NPI | 1083286512 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2021021796) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021021796) |
Enumeration Date | 2021-07-14 |
Last Update Date | 2023-11-21 |