NPI | 1396122727 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 58790) |
Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: AZ 58790) |
Enumeration Date | 2015-05-06 |
Last Update Date | 2023-03-20 |