NPI | 1083451058 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: IN 12014515A) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019.035127) |
Enumeration Date | 2024-07-09 |
Last Update Date | 2024-07-09 |