| NPI | 1134385016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NJ 22DI02398712) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NY 056508) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2024-09-24 |