| NPI | 1316017759 |
|---|---|
| Former Name | AMY SHISHIR VIDWANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME95029) |
| Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: FL ME95029) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2023-11-27 |