NPI | 1205330727 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 59195) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R76707) |
Enumeration Date | 2018-03-20 |
Last Update Date | 2022-09-06 |