| NPI | 1043410491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN20067) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL DRP 547) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2014-10-30 |