| NPI | 1487656443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 100348140) |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: IN 100348140) |
| 207ND0900X Dermatology Dermatopathology (Licence: IN 100348140) | |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2008-05-29 |