| NPI | 1164860755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ D008725) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: AZ 8725) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2021-03-10 |