NPI | 1467486977 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: MD D67588) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD d67588) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2024-09-18 |