| NPI | 1336277656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12012614A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 8159) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2023-11-27 |