| NPI | 1952326951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AR E-4809) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-4809) |
| 207Q00000X Family Medicine (Licence: AR E-4809) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2017-03-15 |