NPI | 1326161936 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IN 8616) |
Additional Taxonomies | 1223P0700X Dentist Prosthodontics (Licence: IN 8616) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2007-07-08 |