NPI | 1922189141 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CO 41443) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CO 41443) |
207ND0900X Dermatology, Dermatopathology (Licence: CO 41443) | |
207NS0135X Dermatology, Procedural Dermatology (Licence: CO 41443) | |
Enumeration Date | 2006-10-17 |
Last Update Date | 2024-09-03 |