| NPI | 1376511600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OK 24255) |
| Additional Taxonomies | 207NI0002X Dermatology Clinical & Laboratory Dermatological Immunology (Licence: OK 24255) |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2021-11-17 |