| NPI | 1679911382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01074554A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01074554A) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2023-08-14 |