| NPI | 1437361771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA c42368) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: CA c42368) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: CA C42368) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2025-09-11 |