NPI | 1760451405 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: AL MD.25679) |
Additional Taxonomies | 207N00000X Dermatology (Licence: AL 00025679) |
Enumeration Date | 2006-03-15 |
Last Update Date | 2021-02-18 |