| NPI | 1902291875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01083583A) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01083583) |
| 207N00000X Dermatology (Licence: MO 2019009762) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2022-10-14 |