NPI | 1891435905 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: OR PG215466) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10079167) |
Enumeration Date | 2022-03-29 |
Last Update Date | 2023-09-12 |