| NPI | 1659335750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01080810A) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TN 10709) |
| 207N00000X Dermatology (Licence: KY 24341) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2018-07-19 |