| NPI | 1437577491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: DC MD046868) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: DC MD046868) |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2020-06-26 |