| NPI | 1518913672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 146086) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: NY 146086) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2018-10-15 |