NPI | 1396748950 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: PA MD057630L) |
Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD057630L) |
Enumeration Date | 2005-05-27 |
Last Update Date | 2007-07-08 |