| NPI | 1912482704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IN 12014333A) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: ZZ 68587) |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2024-05-21 |