| NPI | 1801063128 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01064872A) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: IN 01064872A) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2021-03-11 |