| NPI | 1093104887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01086988A) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WI 70584) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2022-03-10 |