NPI | 1497805071 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MN 60390) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 50184-21) |
207N00000X Dermatology (Licence: WI 50184-21) | |
Enumeration Date | 2007-01-12 |
Last Update Date | 2020-07-22 |