| NPI | 1104557479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 10233) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC 10233) |
| Enumeration Date | 2022-06-18 |
| Last Update Date | 2024-01-24 |