| NPI | 1114252517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ID D-4156) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: WA DE 60023524) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2009-10-02 |