| NPI | 1881033223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO CDRH.0072156) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01074680A) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2024-10-08 |