NPI | 1982629556 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD054336L) |
Additional Taxonomies | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: PA MD054336L) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2015-11-09 |