Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | M8669 | TX |
NPI | 1043478761 |
---|---|
Provider Name | Dr. Aron Jeffrey Gewirtzman |
First Address | Austin, TX 78705-1023 |
Second Address | Austin, TX 78705-1023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2008 |
Last Update Date | 18/07/2017 |