NPI | 1598287617 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12012788A) |
Additional Taxonomies | 122300000X Dentist (Licence: IN 12012788A) |
1223G0001X Dentist, General Practice (Licence: IN 12012788A) | |
Enumeration Date | 2017-07-11 |
Last Update Date | 2024-06-04 |