| NPI | 1841673951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: IN 12013764A) |
| Additional Taxonomies | 122300000X Dentist (Licence: NM DD4363) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2024-04-06 |