| NPI | 1447888540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01093396A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01093396A) |
| 208600000X Surgery (Licence: WA ML61070557) | |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2024-09-25 |