| NPI | 1003819657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN10749) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL 10749) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2023-10-17 |