NPI | 1558486282 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IN 12008665A) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019015150) |
122300000X Dentist (Licence: OR 05128) | |
Enumeration Date | 2007-03-20 |
Last Update Date | 2007-07-08 |