NPI | 1720183742 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: KS 0427386) |
Additional Taxonomies | 207N00000X Dermatology (Licence: TX J0974) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2020-04-14 |