| NPI | 1104924786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 21186) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 009087) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-01-27 |