| NPI | 1538327309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01069284A) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NC 2009-00203) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IN 01069284A) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NC 2009-00203) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2021-04-05 |