NPI | 1144294240 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: WA OP60209777) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IN 02001718A) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2012-04-12 |