NPI | 1396792644 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NY 140900) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 140900) |
Enumeration Date | 2006-05-30 |
Last Update Date | 2016-11-16 |