| NPI | 1053549139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01072503A) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: KY 56569) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2022-04-27 |