| NPI | 1083283865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: GA DN122541) |
| Additional Taxonomies | 122300000X Dentist (Licence: WI 1002585) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2022-01-24 |