| NPI | 1205015443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 34122) |
| Additional Taxonomies | 122300000X Dentist (Licence: NV 7043) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2019-12-27 |