NPI | 1013212851 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: IN 12005926) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12005926) |
Enumeration Date | 2011-01-25 |
Last Update Date | 2011-01-25 |