NPI | 1962454876 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MD D26518) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MD D26518) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2017-01-26 |