| NPI | 1952357337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01044836A) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MN 48274) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2021-02-02 |