| NPI | 1326194135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12008744A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26014877A) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |