NPI | 1386058048 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: DC MD047809) |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: DC MD047809) |
Enumeration Date | 2014-06-19 |
Last Update Date | 2020-04-09 |