NPI | 1245366194 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN20406) |
Additional Taxonomies | 133V00000X Dietitian, Registered |
122300000X Dentist (Licence: FL DN20406) | |
Enumeration Date | 2007-02-26 |
Last Update Date | 2024-09-23 |