| NPI | 1154732626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX U7272) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01075880A) |
| 207N00000X Dermatology (Licence: IN 01075880A) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: IN 01075880A) | |
| Enumeration Date | 2014-05-18 |
| Last Update Date | 2024-03-15 |