NPI | 1518126218 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: FL me93288) |
Additional Taxonomies | 208D00000X General Practice (Licence: GA 070481) |
207ND0900X Dermatology, Dermatopathology (Licence: GA 070481) | |
207NP0225X Dermatology, Pediatric Dermatology (Licence: GA 070481) | |
207NS0135X Dermatology, Procedural Dermatology (Licence: GA 070481) | |
Enumeration Date | 2008-06-06 |
Last Update Date | 2023-11-27 |