NPI | 1093977985 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MI 5101015228) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IA 4074) |
Enumeration Date | 2008-07-01 |
Last Update Date | 2011-11-18 |