NPI | 1346300274 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0900X Dermatology Dermatopathology (Licence: CA 874491) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA 874491) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2019-09-27 |