| NPI | 1386683290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TN 6544) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OH 35090328) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OH 35.090328) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: AR E-6763) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2024-01-31 |