| NPI | 1295771244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IN 01029310A) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IA 18628) |
| 207ND0900X Dermatology, Dermatopathology (Licence: IN 01029310A) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: IA 18628) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: IN 01029310A) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2023-07-24 |