| NPI | 1376512244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SD 13156) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01060228A) |
| 207N00000X Dermatology (Licence: NE 34102) | |
| 207N00000X Dermatology (Licence: IA MD-39773) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2025-12-10 |