NPI | 1881033223 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CO CDRH.0072156) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01074680A) |
Enumeration Date | 2013-06-19 |
Last Update Date | 2024-10-08 |