| NPI | 1235219544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN IN8385) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 8385) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-09-09 |