| NPI | 1710082268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX K4601) |
| Additional Taxonomies | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: TX K4601) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: TX K4601) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: TX K4601) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX K4601) | |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: TX K4601) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2011-10-17 |