NPI | 1518935485 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MD D0029194) |
Additional Taxonomies | 174400000X Specialist (Licence: MD D0029194) |
Enumeration Date | 2006-03-08 |
Last Update Date | 2018-04-03 |