| NPI | 1164492104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IN 12012276A) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AK 173) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IN 12012276B) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2023-03-07 |