| NPI | 1285016303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 5101024566) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 02006264A) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2021-02-08 |