| NPI | 1437276276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AL 29461) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: AL 29461) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2017-03-31 |