| NPI | 1154755486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN9910) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN9910) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2015-08-11 |