| NPI | 1093482952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: TX 41290) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DL14957) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2025-04-09 |