| NPI | 1437166840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 2895) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 2895) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2024-01-15 |