| NPI | 1245368711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN16516) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MT 2478) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2013-07-17 |