| NPI | 1063918746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IN 12014033A) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: ID 6171670) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NV S2-216) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2025-12-23 |