| NPI | 1467679068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OR D10006) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: HI DT-2084) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2014-03-20 |