NPI | 1952863938 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX U5406) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U5406) |
Enumeration Date | 2019-04-01 |
Last Update Date | 2023-11-29 |