NPI | 1093070179 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CO DR.0058571) |
Additional Taxonomies | 207N00000X Dermatology (Licence: RI LP02769) |
Enumeration Date | 2012-07-05 |
Last Update Date | 2022-09-06 |