NPI | 1790407682 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: CA A45588) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA A45588) |
246ZB0301X Specialist/Technologist, Other, Biomedical Engineering | |
Enumeration Date | 2022-09-16 |
Last Update Date | 2022-09-16 |