| NPI | 1093381808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IA AI-4033089-2130) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA AI-4033089-2130) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2022-02-16 |