NPI | 1356397699 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: WI 24652-02) |
Additional Taxonomies | 207N00000X Dermatology (Licence: WI 24652-20) |
Enumeration Date | 2006-05-26 |
Last Update Date | 2023-04-21 |