| NPI | 1376638288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TN 12439) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 53688) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2026-02-24 |