| NPI | 1477713642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OK 26344) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 26344) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2020-10-21 |