NPI | 1578536736 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: CA A97517) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01053757A) |
207NS0135X Dermatology, Procedural Dermatology (Licence: CA A97517) | |
Enumeration Date | 2006-02-08 |
Last Update Date | 2024-03-04 |