NPI | 1780619270 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: DE C10002023) |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: DE C10002023) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2007-07-08 |