| NPI | 1194734194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IA 20021) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: IA 20021) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: IA 20021) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2007-10-01 |