| NPI | 1801860747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MS 3522-09) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL 5029) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN 9082) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2010-03-30 |