NPI | 1447593686 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: FL OS13968) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.063879) |
Enumeration Date | 2013-04-05 |
Last Update Date | 2021-05-19 |