| NPI | 1346603776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: PR 21193) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 21193) |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2023-09-12 |