| NPI | 1992144174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01081738A) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2017010789) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2022-09-01 |