NPI | 1417407875 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IN 12013941A) |
Additional Taxonomies | 122300000X Dentist (Licence: MS 398416) |
Enumeration Date | 2016-10-10 |
Last Update Date | 2024-02-12 |