NPI | 1023128899 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IN 12006466) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: IN 12006466) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2007-07-08 |