NPI | 1790789733 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD421026) |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: PA MD421026) |
Enumeration Date | 2005-06-08 |
Last Update Date | 2007-11-25 |