NPI | 1982132510 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: KS 05-44847) |
Additional Taxonomies | 207N00000X Dermatology (Licence: VA 0102205409) |
Enumeration Date | 2017-05-26 |
Last Update Date | 2024-02-14 |