| NPI | 1427369396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 64362-20) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: WI 64362-20) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2021-08-02 |