| NPI | 1538500657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: ID D-5006-EN) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: IN 12012080A) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2024-02-23 |