| NPI | 1063041184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12014602A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.032872) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2025-07-22 |