| NPI | 1346728656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX T7913) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: TX T7913) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2026-05-21 |