| NPI | 1659480697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01045359) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 010453590) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-07-01 |