| NPI | 1316076698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01020422A) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: IN 01020422A) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2014-03-06 |