| NPI | 1992773477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01070085A) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G27597) |
| 207N00000X Dermatology (Licence: CA G27597) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2012-04-19 |