| NPI | 1417927096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: HI CSDT-90) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D6885) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 62244) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2021-02-26 |