| NPI | 1871582023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO DR.0055860) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01047264A) |
| 207ZD0900X Pathology Dermatopathology (Licence: OR MD214761) | |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2024-08-15 |