NPI | 1801991351 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NH 7053) |
Additional Taxonomies | 207N00000X Dermatology (Licence: ME 012501) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2013-05-16 |