NPI | 1134220221 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: HI MD-6994) |
Additional Taxonomies | 174400000X Specialist (Licence: HI MD6994) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2024-03-18 |