| NPI | 1407291511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01081469A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207N00000X Dermatology (Licence: OR MD189143) | |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2020-11-25 |