| NPI | 1285945584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 286009) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: DC MD043544) |
| 207N00000X Dermatology (Licence: MD D0080263) | |
| 207ND0900X Dermatology Dermatopathology (Licence: NY 286009) | |
| 207ND0900X Dermatology Dermatopathology (Licence: DC MD043544) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2022-07-21 |