| NPI | 1659938595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IN 12013162A) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: IN 12013162A) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2026-03-02 |