NPI | 1205827250 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MA 41853) |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: MA 41853) |
Enumeration Date | 2005-10-31 |
Last Update Date | 2014-05-20 |