NPI | 1083641062 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX L1869) |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: TX L1869) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2008-05-22 |