NPI | 1144487158 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011007A) |
Additional Taxonomies | 122300000X Dentist (Licence: IN 12011007A) |
Enumeration Date | 2008-05-19 |
Last Update Date | 2019-02-18 |