| NPI | 1528001583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NJ 25MA04329300) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NY 149959) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL ME92597) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2019-09-20 |