| NPI | 1043737836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 120006944) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 120006944) |
| 171100000X Acupuncturist (Licence: IN 82000002A) | |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2022-07-21 |