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 |