Gerrit V Henry, D,IO Valid NPI

Individual provider · Dermatology Physician · Gilroy, CA

NPI

1194781294

Type

Individual (Type 1)

Primary specialty

Dermatology Physician (Dermatology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207N00000X

License number

12356 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-04-26

Last updated

2020-03-09