| NPI | 1215133418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: HI MD-12051) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OR MD26016) |
| 207N00000X Dermatology (Licence: HI MD-12051) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2021-05-26 |