NPI | 1548688989 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: UT 6845592-1205) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MT MED-PHYS-LIC-76211) |
207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MT MED-PHYS-LIC-76211) | |
207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MT 76211) | |
2086X0206X Surgery, Surgical Oncology (Licence: MT MED-PHYS-LIC-76211) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-02 |
Last Update Date | 2024-04-17 |