| NPI | 1538359633 |
|---|---|
| Former Name | PRIYA SAMBANDAN THAKKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: NJ 25MA08829200) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 231750) |
| 207N00000X Dermatology (Licence: NJ 25MA08829200) | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2012-08-28 |