| NPI | 1417050717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101021976) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: VA 0101021976) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2024-06-24 |