| NPI | 1578661302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: UT 1539961205) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: UT 1539961205) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-11-17 |