NPI | 1326401035 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX S9718) |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: TX S9718) |
Enumeration Date | 2016-03-30 |
Last Update Date | 2024-06-26 |