NPI | 1619032836 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: HI DT-2405) |
Additional Taxonomies | 122300000X Dentist (Licence: AZ 7062) |
1223G0001X Dentist, General Practice (Licence: HI DT-2405) | |
Enumeration Date | 2006-12-27 |
Last Update Date | 2023-04-28 |