NPI | 1598710972 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MD D23816) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA G82133) |
Enumeration Date | 2006-05-23 |
Last Update Date | 2020-02-18 |