NPI | 1528217395 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NE 26614) |
Additional Taxonomies | 207N00000X Dermatology (Licence: OK 27129) |
Enumeration Date | 2008-09-16 |
Last Update Date | 2014-09-02 |