NPI | 1083704472 |
---|---|
Former Name | A. ROBERT MASTEN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: DE C1-0001516) |
Additional Taxonomies | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: DE c1-0001516) |
207NS0135X Dermatology, Procedural Dermatology (Licence: DE C1-0001516) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2008-07-03 |