NPI | 1952436354 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MD D68963) |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: MD D68963) |
Enumeration Date | 2007-02-23 |
Last Update Date | 2020-02-10 |