NPI | 1326076530 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: IN 01042716) |
Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: IN 01042716) |
207N00000X Dermatology (Licence: IN 01042716) | |
Enumeration Date | 2006-06-28 |
Last Update Date | 2024-12-19 |