NPI | 1134705148 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA A193963) |
Additional Taxonomies | 207N00000X Dermatology (Licence: AR E-18546) |
Enumeration Date | 2021-03-20 |
Last Update Date | 2024-10-02 |