NPI | 1972669455 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IN 71001628A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP4948) |
207N00000X Dermatology (Licence: AZ AZ4948) | |
363L00000X Nurse Practitioner (Licence: IN 71001628A) | |
Enumeration Date | 2006-12-29 |
Last Update Date | 2020-10-07 |