NPI | 1366437501 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NC 37959) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NC 37959) |
207NS0135X Dermatology, Procedural Dermatology (Licence: NC 37959) | |
Enumeration Date | 2005-09-14 |
Last Update Date | 2014-09-03 |