| NPI | 1598892374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12007572A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 7572) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2013-11-05 |