NPI | 1164409470 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA C55142) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01056458a) |
Enumeration Date | 2005-12-28 |
Last Update Date | 2021-12-15 |