| NPI | 1881041556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: ME MD24924) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CT 1881041556) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2025-03-31 |