| NPI | 1578542262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009548) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12010376) |
| 1223G0001X Dentist, General Practice (Licence: IN 12009548A) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2024-04-04 |