| NPI | 1093981607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MI 5601102220) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 5601102220) |
| Enumeration Date | 2008-05-03 |
| Last Update Date | 2024-07-30 |