NPI | 1346229796 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: AR E0184) |
Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: AR E0184) |
207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: AR E0184) | |
207NS0135X Dermatology Procedural Dermatology (Licence: AR E0184) | |
207NI0002X Dermatology Clinical & Laboratory Dermatological Immunology (Licence: AR E0184) | |
207NP0225X Dermatology Pediatric Dermatology (Licence: AR E0184) | |
Enumeration Date | 2006-01-13 |
Last Update Date | 2007-07-12 |