| NPI | 1669444113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL OS8379) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL os 8379) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2023-03-07 |