| NPI | 1700861382 |
|---|---|
| Other Name | TED MAJOR RUDOLPH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME79805) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: FL ME79805) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL ME79805) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: FL ME79805) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2020-09-14 |