NPI | 1134174311 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NY 226026) |
Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: NY 226026) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2016-07-22 |