NPI | 1437152386 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TN 7851) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: GA 11918) |
Enumeration Date | 2005-05-24 |
Last Update Date | 2007-07-08 |