| NPI | 1447238787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME45288) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME425288) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2013-09-27 |