| NPI | 1346245115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01031629) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036059363) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2023-05-04 |