| NPI | 1134437312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: AZ D 8060) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: OH 30.022834) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |