| NPI | 1417132911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01063019A) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IN 01063019A) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: IN 01063019A) | |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2021-09-14 |