| NPI | 1952408809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: ND 10395) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01052439A) |
| 207N00000X Dermatology (Licence: AZ 36007) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-02-22 |