NPI | 1174540843 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD032161L) |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: PA MD032161L) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2014-07-23 |