NPI | 1477541787 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12013461A) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019024373) |
Enumeration Date | 2005-10-11 |
Last Update Date | 2023-06-07 |