| NPI | 1265662936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: AK 1544) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12011347A) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2026-02-04 |