| NPI | 1922330620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA DDS34802) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: IN DL34802) |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2025-03-03 |