NPI | 1790865806 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: WI 66663) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036086146) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2022-07-26 |