NPI | 1821830696 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 2951001002) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12014439A) |
Enumeration Date | 2024-06-11 |
Last Update Date | 2025-06-25 |