| NPI | 1881033223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01074680A) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01074680A) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2023-08-02 |