| NPI | 1992069462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01087990A) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 4301501085) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2023-10-02 |