| NPI | 1730353665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01088938A) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 229734) |
| 207N00000X Dermatology (Licence: MA 237216) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2022-11-16 |