| 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 |