| NPI | 1174526917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01030428) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: IN 01030428) |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: IN 01030428) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: IN 01030428) | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2010-11-23 |