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 |