NPI | 1215626007 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 122300000X Dentist (Licence: IN 12014363A) |
Enumeration Date | 2023-05-05 |
Last Update Date | 2024-06-29 |