| NPI | 1760419881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NV do1722) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01054132A) |
| 207N00000X Dermatology (Licence: MD h0063845) | |
| 207Q00000X Family Medicine (Licence: IN 01054132A) | |
| 207Q00000X Family Medicine (Licence: MD H0063845) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2019-11-06 |