| NPI | 1225094725 |
|---|---|
| Former Name | ROY LEONARD SEIDENBERG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 191853) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NJ MA066597) |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2015-12-02 |