| NPI | 1447372446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology Dermatopathology (Licence: OH 35.091459) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35.091459) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2021-12-27 |