NPI | 1881057594 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: ME DO2935) |
Additional Taxonomies | 207N00000X Dermatology (Licence: FL uo4767) |
Enumeration Date | 2016-03-30 |
Last Update Date | 2020-04-01 |