NPI | 1467680280 |
---|---|
Former Name | PARISA RAVANFAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NH 16085) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NH LT 3245) |
207NS0135X Dermatology, Procedural Dermatology (Licence: NH 16085) | |
Enumeration Date | 2009-07-01 |
Last Update Date | 2016-09-27 |