NPI | 1831530914 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 9728) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN122824) |
Enumeration Date | 2013-07-17 |
Last Update Date | 2025-06-06 |