| NPI | 1649342817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01026230A) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01026230) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2023-07-05 |