NPI | 1962883165 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2018023418) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2018023418) |
Enumeration Date | 2015-06-12 |
Last Update Date | 2024-04-25 |