| NPI | 1447329719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: OR MD26727) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OR MD26727) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2009-05-27 |