NPI | 1114095437 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NV 3301) |
Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: NV 3301) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2010-04-23 |