NPI | 1760058366 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IN 12013637A) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12013637A) |
Enumeration Date | 2021-06-03 |
Last Update Date | 2025-03-17 |