| NPI | 1366804569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: ND 22431) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: ND 22431) |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2025-10-09 |