| NPI | 1194385161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MD 18525) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: DC DEN2000507) |
| 1223E0200X Dentist, Endodontics (Licence: HI Dr-3119) | |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2025-09-15 |